MILE SQUARE DAVIS/BRIGHTON PARK SATELLITE HEALTH AND WELLNESS CENTER
NPI 1497293344
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Q: What is Mile Square Davis/Brighton Park Satellite Health And Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since February 10, 2017

3825 S WASHTENAW AVE, CHICAGO, IL 60632(773) 376-5293 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2019, Feb 10, 2017 (2 updates tracked since 2017).

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About Mile Square Davis/brighton Park Satellite Health And Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILE SQUARE DAVIS/BRIGHTON PARK SATELLITE HEALTH AND WELLNESS CENTER (NPI 1497293344) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since February 2017. The organization lists Henry Taylor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497293344

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameMILE SQUARE DAVIS/BRIGHTON PARK SATELLITE HEALTH AND WELLNESS CENTER

Location Address3825 S WASHTENAW AVEChicago, IL 60632-1633

Mailing Address3825 S Washtenaw AveChicago, IL 60632-1633 · (773) 376-5293

Phone(773) 376-5293

Organization SubpartYesParent: The Board Of Trustees Of The University Of Illinois

Authorized OfficialHenry TaylorExecutive Director · (312) 412-1261

Enumeration DateFebruary 10, 2017

Last NPPES UpdateSeptember 4, 20192 updates tracked since enumeration

✔ NPI 1497293344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

3825 S WASHTENAW AVE, Chicago, IL 60632

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mile Square Davis/Brighton Park Satellite Health And Wellness Center's NPI number?

The NPI number for Mile Square Davis/Brighton Park Satellite Health And Wellness Center is 1497293344. It was assigned to this organization in the NPPES registry on February 10, 2017.

Where is Mile Square Davis/Brighton Park Satellite Health And Wellness Center located?

Mile Square Davis/Brighton Park Satellite Health And Wellness Center is located at 3825 S Washtenaw Ave, Chicago, IL 60632. The listed phone number is (773) 376-5293.

What is Mile Square Davis/Brighton Park Satellite Health And Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Mile Square Davis/Brighton Park Satellite Health And Wellness Center was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.